2008 Clinical Practice Guidelines - Canadian Diabetes Association

Identification of Individuals at High Risk of
Coronary Events
Canadian Diabetes Association Clinical Practice Guidelines Expert Committee
The initial draft of this chapter was prepared by David Fitchett MD FRCPC,
Lawrence A. Leiter MD FRCPC FACP and Guy Tremblay MD FRCPC
KEY MESSAGES
• Diabetes increases the prevalence of coronary artery
disease (CAD) approximately 2- to 3-fold compared to
individuals without diabetes. People with diabetes develop
CAD 10 to 12 years earlier than individuals without
diabetes.When a person with diabetes has an acute
coronary event, the short- and long-term outcomes
are considerably worse than for the person without
diabetes.
• People with diabetes should be considered to have a high
10-year risk of CAD events if ≥45 years and male, or
≥50 years and female. For the younger person (male
15 years.
S95
COMPLICATIONS AND COMORBIDITIES